Type of Residence

Own	Rent
House	Townhome	Apartment

Landlord's Information:
Name:
Phone:

Type of companion animal you are seeking to foster:
Bottle Fed Kittens (every 2-4 hours)	Bottle- fed Puppies
Weaned Kittens	Weaned Puppies
Pregnant Cat	Pregnant Dog
Mother Cat with kittens	Mother Dog with puppies
Kitten/Cat recovering from injury/surgery	Puppy recovering from surgery/illness
Kitten/Cat requiring socialization	Puppy requiring socialization
Elderly/Ill cat requiring long term care	Elderly/Ill Dog requiring long term care
Terminally ill cat that is currently content	Terminally ill dog that is currently content
FeLV diagnosed Cats	Dog recovering from injury/ surgery
FIV diagnosed Cats	Dog requiring socialization

Large, Medium or Small Breed Dog?: Names of dogs/cats that you saw on the website you are interested in fostering? Briefly describe any relevant experience you have had with the animals you have checked above: Have you ever fostered for another organization before?Yes  No

If yes, what organizations?

When?

Why did you stop?

How many people in household and ages:
Total:
Adults:
Children:

Why are you interested in fostering? Check all that apply:

To Enable the Shelter to Save More Lives For Breeding For Protection Replace Previous Pet Other

To adopt in the future To Help a Dog in Need For a Child Companion for Other  Pet

Please specify other:

Is this your first pet? Yes     No

If no, please list previous pets, duration you cared for/fostered the pet and when he/she was deceased:

Do you currently have other pets? Yes       No

If yes, please list current pets (name, size & age) and how long you have had them:

How do you plan to introduce the new foster pet to the household?

How will you handle the following situations? Please answer all questions completely.
1. Family allergy to foster pet:

2. Foster Pet Medical Expenses
(unexpected emergencies and diagnosed medical conditions)

Are you willing and have the ability to travel to veterinarians who work with Animal House Shelter foster animals or our shelter should your foster(s) need medical care?     Yes     No

Sometimes animals do not adjust to their new environments well.  Are you prepared to spend several weeks, perhaps even months, helping  your new foster pet  adjust to a new environment?    Yes       No

How much money/material do you anticipate  investing in your foster pet's needs (food, newspaper, cage, bowls, toys, heating pads, puppy/kitten milk, antibiotics, dewormers, litter box )?

Please provide your  Veterinarian Information for past or current pets:  REQUIRED

What annual vaccines does your current pet or will your future pet receive and how often?

Will your newly intended foster pet be an indoor or outdoor pet?
Indoor      Outdoor

What is the longest duration you will leave your pet outdoors while unattended?

Does your residence have any of the following (check all that apply:)
Yard   Fence   Dog Run   Dog Door

Please specify type and height of fence:

Where will your foster pet be kept (free roam of house? crate? outdoors?)

At night:
Day time:

How many hours a day do you spend at home?  Please indicate work schedules of all adults in household 

What brand/ type of food do you plan on feeding your foster pet?

Who will be the primary caregiver for the foster animal?

Does anyone in the household have any known animal allergies, please specify:

How did you hear about Animal House Shelter?

Have you ever turned an animal into a shelter, if yes, why?

Animals are not perfect, and occasionally situations arise that were not planned for.  Please explain in detail how you would handle  each of the following situations.  Applications will not be considered complete  if these are not answered.   Consider that all of the following behaviors could occur while you are home, but also when you are not. 

"Training" is what would need to be done but please let us know what specific techniques you would use to train.

Jumping on furniture/ counter tops/ tables  

Scratching/ biting/ ripping furniture

Chewing on plants/ garbage/ other

Barking

Play Biting

How will you correct your pet if it does the following:

Urinates/ defecates inside the house

Keeps you awake at night

Sheds excessively

Ruins an expensive article

Please provide three references (not related to you) and their phone numbers:

FOSTER HOME AGREEMENT

• Foster home should be experienced in the basic care and handling of the type of animal to be fostered
• Foster home should be qualified and have adequate resources and experience to provide for the medical and care requirements of the animal
• Foster home should have the space to separate/confine foster animals from other animals in the home
• Foster home will contact Animal House staff or other designate for permission before taking a foster animal to a veterinarian
• Foster homes will keep detailed records of any medical treatments and care given to the foster animal.
• All foster home current resident pet(s) must have up-to-date vaccinations
• If the foster home resident pet(s) contracts a disease  or is injured by a foster animal, Animal House will not be liable for any expenses associated  with the foster home pet(s)
• If the foster animal becomes lost or runs away, the foster home must immediately contact Animal House, the local police department and animal control agency.
• Animal House has the right to inspect the foster home or to request the return of any foster animal(s) at any time
• Foster animals will be assigned to foster homes at the discretion of the Animal House Shelter staff
• The Foster home will sign the Animal House Home Foster Agreement before taking any foster animal from the shelter
• This application and all paperwork regarding fostering Animal House Shelter animals is the sole property of Animal House shelter, Inc

I certify that the information I have provided is accurate and honest.

Name:
Date: